Using implementation interventions and peer recovery support to improve opioid treatment outcomes in community supervision: Protocol.
Using implementation interventions and peer recovery support to improve opioid treatment outcomes in community supervision: Protocol.
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DOI：
10.1016/j.jsat.2021.108364
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发表时间：
2021-09
影响因子：
3.9
通讯作者：
Brinkley-Rubinstein L
中科院分区：
文献类型：
--
作者：
Martin RA;Stein LAR;Rohsenow DJ;Belenko S;Hurley LE;Clarke JG;Brinkley-Rubinstein L
目的是确定促进的本地变革团队 (LCT) 干预是否改善了阿片类药物使用障碍 (MOUD) 药物和实施结果的联系，以及参与者级别的结果是否通过使用同伴支持专家 (PSS) 得到进一步增强。这种 1 类混合实施-有效性研究涉及事前设计（实施研究），然后是 PSS（有效性研究）随机试验。参与者是来自三个州 7 个地点的至少 114 名司法和服务人员：缓刑官员、社区治疗提供者、每个机构的主管以及主要利益相关者。该研究将从七个成人社区缓刑办公室招募多达 680 名缓刑人员；符合资格的个人将是近期患有阿片类药物使用障碍 (OUD) 的讲英语的人。该研究将利用探索、准备、实施、可持续性 (EPIS) 框架，通过缓刑和社区治疗人员的便利 LCT 来指导系统变革，并制定一套核心实施策略来设定目标。该研究将在每个 EPIS 阶段结束时收集项目级别和员工调查数据。 MOUD 的组织参与（主要），加上员工知识/态度和组织成果的变化（次要）。实施完成后，该研究将随机分配缓刑成年人接受 PSS 与照常治疗，并在基线、3、6 和 12 个月时进行评估。有效性结果包括参与者参与 MOUD（主要）、缓刑撤销、非法阿片类药物使用和过量服用。其他目标包括识别障碍和促进因素，以及 PSS 的成本效益分析。针对 COVID-19 的调整包括将许多程序转移到远程方法。
The purpose is to determine whether a facilitated local change team (LCT) intervention improves linkage to medication for opioid use disorder (MOUD) and implementation outcomes, and whether participant-level outcomes are further enhanced by use of peer support specialists (PSS). This Type 1 hybrid implementation-effectiveness study involves a pre-post design (implementation study) followed by a randomized trial of PSS (effectiveness study). Participants are at least 114 justice and service staff from 7 sites in three states: probation officers, community treatment providers, a supervisor from each agency, and key stakeholders. The study will recruit up to 680 individuals on probation from seven adult community probation offices; eligible individuals will be recently committed, English speakers, with opioid use disorder (OUD). The study will use the exploration, preparation, implementation, sustainability (EPIS) framework to guide system-change through facilitated LCTs of probation and community treatment staff given a core set of implementation strategies to set goals. The study will collect program-level and staff survey data at the end of each EPIS stage. Organizational engagement in MOUD (primary), plus changes in staff knowledge/attitudes and organizational outcomes (secondary). After completing implementation, the study will randomize adults on probation to receive PSS vs. treatment as usual, with assessments at baseline, 3, 6 and 12 months. Effectiveness outcomes include participant engagement in MOUD (primary), probation revocation, illicit opioid use, and overdoses. Other aims include identifying barriers and facilitators, and cost-benefit analysis of PSS. Adaptations in response to COVID-19 included moving many procedures to remote methods.
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影响因子：
3.5
作者：
Friedmann PD;Hoskinson R;Gordon M;Schwartz R;Kinlock T;Knight K;Flynn PM;Welsh WN;Stein LA;Sacks S;O'Connell DJ;Knudsen HK;Shafer MS;Hall E;Frisman LK;Mat Working Group Of CJ-Dats
通讯作者：
Mat Working Group Of CJ-Dats
影响因子：
2.1
作者：
Welsh WN;Prendergast M;Knight K;Knudsen H;Monico L;Gray J;Abdel-Salam S;Redden SM;Link N;Hamilton L;Shafer MS;Friedmann PD
通讯作者：
Friedmann PD
影响因子：
3.9
作者：
Bassett, Shayna S.;Stein, L. A. R.;Martin, Rosemarie A.
通讯作者：
Martin, Rosemarie A.
DOI：
10.1007/s10880-019-09661-z
发表时间：
2020-12-01
影响因子：
2.2
作者：
Cos, Travis A.;LaPollo, Archana Bodas;Festinger, David S.
通讯作者：
Festinger, David S.
DOI：
10.1023/b:mhsr.0000024351.12294.65
发表时间：
2004-06-01
期刊：
Mental health services research
影响因子：
--
作者：
Aarons, Gregory A
通讯作者：
Aarons, Gregory A